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Data Request Form

Requestor Information

Name of Organization / Institution *

(Max length is 100)

Name and position of the person requesting data *

(Max length is 100)

Address of Organization / Institution *

(Max length is 100)

Phone / Mobile

(Max length is 15)

Email *

(Max length is 25)

Name of the Authorized Signatory of the Organization / Institution *

(Max length is 25)

Data Request Details

Date of Request*

Data Request Description *

(Max length is 100)

Period of Data *

(Max length is 100)

Purpose of Data Request (Whether for Research, Commercial or Others)*

If Research, provide a Description of Research, Research Objectives and Design (Kindly enclose a brief document)*

(Max length is 200)

If Commercial / Others, please specify the Purpose*

(Max length is 200)

Please provide any additional information about the request

(Max length is 1000)

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Data Request Form

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Data Request Details

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Data Request Form - clearcorp

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Data Request Form

Requestor Information

Data Request Details

HEAD OFFICE (INDIA)

Company

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